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Flail Chest- Check out the paradoxical chest wall movement Typical management: opiates for analgesia, intubation due to incr WOB + chest tube Alternative: Serratus plane block ( http://bit.ly/32vJsW3 ), chest tube. Pt pain free X 36 hours, no intubation Dr. Anand Swaminathan @EMSwami #Flail #Chest #Breathing #Pattern #Trauma #Video #Clinical #PhysicalExam #Pulmonary #Respiratory